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All Journal Medical Journal of Indonesia Indonesian Journal of Urology Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia
Fakhri Rahman, Fakhri
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Biochemistry, Genetics & Molecular Biology Education Health Professions Medicine & Pharmacology Public Health

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CURRENT ANESTHESIA METHODS FOR NO-SCALPEL VASECTOMY: A SYSTEMATIC REVIEW Rahman, Fakhri; Birowo, Ponco; Rasyid, Nur
Majalah Kedokteran Indonesia Vol 69 No 4 (2019): Journal of the Indonesian Medical Association Majalah Kedokteran Indonesia Volum
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.0679/jinma.v69i4.67

Abstract

Introduction: This study was aimed to described current anesthesia methods to facilitate no-scalpel vasectomy procedure. Methods: A systematic review based on PRISMA guideline was conducted which included all the studies discussing no-scalpel vasectomy and focusing on its anesthesia method. Outcomes searched were pain during anesthesia and procedure. Literature search was done through search engines (PubMed, EBSCO Host and Cochrane library) using (?no-scalpel vasectomy? OR ?scalpel-free vasectomy? OR ?vasectomy?) AND (?anesthesia?) as keywords and through manual search. Literature selection process was done by two reviewer and qualified studies were subjected to quality assessment. Results: A total of 446 literatures were found and five studies satisfying the eligibility criteria and discussed following anesthesia methods: local infiltration anesthesia (LIA), spinal cord block (SCB), no-needle anesthesia (NNA), mini-needle anesthesia (MNA) and eutectic mixture of local anesthetic (EMLA). This study showed that the average score of pain (VAS 1-10) during no-scalpel vasectomy procedure for LIA, combination of LIA and SCB, NNA, MNA and combination of LIA and EMLA were 1.86 ? 2.7, 0.64, 0.66 ? 2.13, 0.66 and 2.15, respectively. Conclusion: Combination of LIA and SCB, NNA and MNA showed promising results as anesthesia methods. However, these promising results should be further proven by more studies.
ROLE OF MAGNETIC RESONANCE IMAGING IN NODAL AND METASTATIC STAGING OF PROSTATE CANCER: A SYSTEMATIC REVIEW AND META-ANALYSIS Hafizar; Rahman, Fakhri; Rumanter, Rainier; Hamid, Agus Rizal Ardy Hariandy; Mochtar, Chaidir Arif; Umbas, Rainy; Matondang, Sahat BRE
Indonesian Journal of Urology Vol 29 No 1 (2022)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v29i1.733

Abstract

Objective: To evaluate the usage of MRI in prostate cancer staging, especially in nodal involvement (N-staging) and metastasis (M-staging) of prostate cancer. Methods: This is a systematic review and meta-analysis assessing role of MRI in nodal and metastasis staging of prostate cancer. Search of studies were done through search engine using Pubmed, Cochrane, and EBSCO Host and manual searching. Quality of eligible studies were assessed using a revised version of Quality Assessment of Diagnostic Accuracy Studies (QUADAS-2) and analyzed in pooled analysis according to nodal involvement or metastasis staging, modality of diagnosis used as the index test and gold standard used using STATA version 13. Results: Total 26 studies corresponding with study’s eligibility criteria were found. Overall, usage of MRI has a sensitivity of 47% (95% CI 35% - 60%; I2 83.08%) and a specificity of 93% (95% CI 89% - 96%, I2 82.21%) in nodal involvement staging of prostate cancer, while using of MRI in M-staging of prostate cancer shows a sensitivity of 94% (95% CI 86% - 97%) and a specificity of 99% (95% CI 97% - 99%). Using lymphotrophic superparamagnetic nanoparticle (LSN) - enhanced MRI gives higher sensitivity than using MRI without LSN for N-staging of prostate cancer. Conclusion: The usage of MRI in prostate cancer staging has a moderate sensitivity and relatively high specificity in detecting lymph node. Moreover, it plays an important role and even can be used as a modality of choice in assisting bone metastatic prostate cancer detection.
ALLIUM STENT IN EXTENSIVE URETERAL STENOSIS: LESSON LEARNED FROM ITS FIRST OFF LABEL USED IN INDONESIA Nainggolan, Ebram; Hudaya, Syamsu; Wallad, Caesar Khairul; Firdianto; Rahman, Fakhri
Indonesian Journal of Urology Vol 31 No 3 (2024)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v31i3.907

Abstract

Objective: This study aims to determine the use of allium stents for ureteral stenosis. Case(s) Presentation: This study reported a case of 50-year-old-male with right ureteral stenosis that underwent allium installation, the first ever used in Indonesia. Discussion: . Long-term ureteral stenting is commonly used when major surgery is not an option for patients. Metallic stents offer an alternative method to address the blockage in a single procedure, without the risk of issues like tissue erosion, infection, or tube encrustation. The design of the Allium stent ensures that the ureter remains open by providing direct support to the walls, resulting in better dilation compared to the double-J stent. In this study, the patient who received an Allium stent could benefit from its use. The stent has shown effectiveness in treating ureteral stenosis, relieving bothersome urinary symptoms, and reducing the need for frequent visits to the operating room for JJ stent replacement. Conclusion: Allium stents improve quality of life in patients with irritative symptoms from JJ stents, reducing Re-operations of JJ insertion, and hospital stay. Keywords: Ureteral stenosis, allium stent, Indonesia.
Rare nephrostomy complication mimicking rupture of abdominal aortic aneurysm: a case report Bangsawan, Kiwah Andanni; Irdam, Gampo Alam; Raharja, Putu Angga Risky; Darwis, Patrianef; Fachriza, Ihza; Rahman, Fakhri
Medical Journal of Indonesia Vol. 33 No. 3 (2024): September
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13181/mji.cr.247245

Abstract

Percutaneous nephrostomy (PCN) is a routine procedure in urology with up to 99% success rate and less than 6% of total complications dominated by minor cases. This was a case report of a 59-year-old male patient with an unusual major bleeding complication after PCN that mimicked a ruptured abdominal aortic aneurysm. The laparotomy exploration identified the bleeding source from the right lobar artery, thus renorrhaphy was performed. Proper visualization of anatomic layout, color Doppler imaging, and selecting a guiding method and technique could reduce bleeding complications following PCN.
Metode Anestesi Terkini untuk Vasektomi Tanpa Pisau Bedah: Sebuah Tinjauan Sistematik Rahman, Fakhri; Birowo, Ponco; Rasyid, Nur
Majalah Kedokteran Indonesia Vol 69 No 4 (2019): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.69.4-2019-67

Abstract

Introduction: This study was aimed to described current anesthesia methods to facilitate no-scalpel vasectomy procedure. Methods: A systematic review based on PRISMA guideline was conducted which included all the studies discussing no-scalpel vasectomy and focusing on its anesthesia method. Outcomes searched were pain during anesthesia and procedure. Literature search was done through search engines (PubMed, EBSCO Host and Cochrane library) using (“no-scalpel vasectomy” OR “scalpel-free vasectomy” OR “vasectomy”) AND (“anesthesia”) as keywords and through manual search. Literature selection process was done by two reviewer and qualified studies were subjected to quality assessment. Results: A total of 446 literatures were found and five studies satisfying the eligibility criteria and discussed following anesthesia methods: local infiltration anesthesia (LIA), spinal cord block (SCB), no-needle anesthesia (NNA), mini-needle anesthesia (MNA) and eutectic mixture of local anesthetic (EMLA). This study showed that the average score of pain (VAS 1-10) during no-scalpel vasectomy procedure for LIA, combination of LIA and SCB, NNA, MNA and combination of LIA and EMLA were 1.86 – 2.7, 0.64, 0.66 – 2.13, 0.66 and 2.15, respectively. Conclusion: Combination of LIA and SCB, NNA and MNA showed promising results as anesthesia methods. However, these promising results should be further proven by more studies.
Intracorporeal urinary diversion robot-assisted radical cystectomy versus open radical cystectomy: a systematic review Nainggolan, Hoshea Jefferson; Rahman, Fakhri; Putera, Eka Setiawan Ananta
Medical Journal of Indonesia Vol. 34 No. 3 (2025): September
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13181/mji.oa.258285

Abstract

BACKGROUND Radical cystectomy is the standard treatment for advanced bladder cancer, with open surgery associated with significant perioperative morbidity. This study aimed to compare efficacy, safety, and cost-effectiveness of robotic-assisted versus open radical cystectomy (ORC) with intracorporeal urinary diversion (ICUD). METHODS A systematic review was conducted across databases (PubMed, Cochrane Library, ClinicalTrials.gov, and Google Scholar) following Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines, with the following keywords: “robotic-assisted cystectomy”, “open cystectomy”, “intracorporeal urinary diversion”, “bladder cancer”, “perioperative results”, “complications”, and “oncological efficacy”. Only studies published in the last 10 years were included, with literature searching completed in December 2024. RESULTS 8 studies comparing robot-assisted radical cystectomy (RARC) with ICUD to ORC were included. RARC with ICUD showed reduced blood loss, fewer transfusions, shorter hospital stays, and faster recovery with earlier bowel function, but longer operative times. Recurrence and survival, were similar between both approaches. CONCLUSIONS RARC with ICUD is a promising alternative to open cystectomy, providing perioperative benefits and faster recovery while maintaining equivalent oncologic outcomes. However, higher initial costs and technical complexity must be considered. Further research should assess quality of life, functional recovery, and overall healthcare impact.
Co-Authors Agus Rizal Ardy Hariandy Hamid, Agus Rizal Ardy Hariandy Bangsawan, Kiwah Andanni Caesar Khairul Wallad, Caesar Khairul Chaidir Arif Mochtar Darwis, Patrianef Fachriza, Ihza Firdianto GAMPO ALAM IRDAM, GAMPO ALAM Hafizar Hafizar Hafizar, Hafizar Harrina Erlianti Rahardjo, Harrina Erlianti Hudaya, Syamsu Matondang, Sahat BRE Muhammad Gozali Arif Sembiring, Muhammad Gozali Arif Nainggolan, Ebram Nainggolan, Hoshea Jefferson Nur Rasyid Ponco Birowo Putera, Eka Setiawan Ananta Raharja, Putu Angga Risky Rainy Umbas Rendy Andika, Rendy Richman Patandung, Richman Rumanter, Rainier Septiani Hidianingsih, Septiani Stefanus Cahyo Ariwicaksono, Stefanus Cahyo Stevano Lucianto Hotasi, Stevano Lucianto